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It highlights the origins of FCEI-DHH in Western contexts and well-resourced locations and emphasizes the role of culture(s) in shaping FCEI-DHH. This article also cautions against the direct application of the 10 FCEI-DHH Principles presented in this issue across the globe without consideration of cultural implications. Cultural perceptions of decision-making processes and persons who can be decision-makers in FCEI-DHH are explored. Deaf culture(s) and the benefits of exposure to DHH adults with diverse backgrounds are introduced. Structural inequities that impact families\u2019 access to FCEI-DHH programs\/services and systems, within and among nations and regions, are noted. The need to consider the cultural influences on families is emphasized; this applies to all levels of FCEI, including the development of systems through implementation of supports.<\/jats:p>","DOI":"10.1093\/deafed\/enad036","type":"journal-article","created":{"date-parts":[[2024,2,29]],"date-time":"2024-02-29T19:38:39Z","timestamp":1709235519000},"page":"SI27-SI39","source":"Crossref","is-referenced-by-count":19,"title":["Family-Centered Early Intervention Deaf\/Hard of Hearing (FCEI-DHH): Cultural &amp; Global Implications"],"prefix":"10.1093","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3856-7761","authenticated-orcid":false,"given":"Amy","family":"Szarkowski","sequence":"first","affiliation":[{"name":"The Institute, Children's Center for Communication\/Beverly School for the Deaf , Beverly, MA, United States"},{"name":"Institute for Community Inclusion, University of Massachusetts Boston , Boston, MA, United 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